- Epidural steroid injections (ESIs) demonstrated modest short-term benefits but limited long-term efficacy for treating cervical and lumbar radiculopathies and spinal stenosis.
- Safety analysis revealed minor adverse effects and serious complications, emphasizing the need for close monitoring.
- Significant methodology challenges were noted, recommending the use of minimal meaningful clinical difference as the measure of efficacy in future trials.
- The review found insufficient evidence for the effectiveness of ESIs in cervical spinal stenosis, highlighting a critical knowledge gap.
- While ESIs may have some benefits, the evidence suggests limited long-term effectiveness for cervical and lumbar radiculopathies and spinal stenosis.
AAN: Limited Benefits Found for Epidural Steroid Injections
Conexiant
February 21, 2025
